Individual
MRS. REBECCA M COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABC -CO
Contact information
Practice address
4140 FERNCREEK DR STE 803, FAYETTEVILLE, NC 28314-2572
(910) 323-9016
(910) 486-8712
Mailing address
2840 OVERHILLS RD, BUNNLEVEL, NC 28323-8702
(910) 494-6581
(910) 483-2327
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO03395
NC
225000000X
Orthotic Fitter
CFOM0085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795105
—
NC
05
—
7795188
—
NC
Enumeration date
08/29/2006
Last updated
05/11/2022
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